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Shadow Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Citrus Heights, California
NPI 1780836684

Shadow Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Shadow Dialysis Llc practices in Citrus Heights, CA. The NPI Number for Shadow Dialysis Llc is 1780836684 and holds a License No. 110000455 (California).

The current practice location address for Shadow Dialysis Llc is 6406 Tupelo Dr, Citrus Heights, CA and can be reached out via phone at 916-721-1800 and via fax at 916-721-4376.

Location: 6406 Tupelo Dr, Citrus Heights, CA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780836684
Provider Name
Shadow Dialysis Llc
Credential
Provider Entity Type
Organization
Address
6406 Tupelo Dr, Citrus Heights, CA, 37027-7569
Phone Number
916-721-1800
Fax Number
916-721-4376
Provider Enumeration Date
10/22/2008
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780836684 05 CA
institution
Provider Business Practice Location Address Details
Address
6406 Tupelo Dr
City
Citrus Heights
State
California
Zip
95621-1780
Phone Number
916-721-1800
Fax Number
916-721-4376
person
Provider Business Mailing Address Details
Address
6406 Tupelo Dr
City
Citrus Heights
State
California
Zip
95621-1780
Phone Number
916-721-1800
Fax Number
916-721-4376
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
110000455 (California)
Definition
Definition to come...
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